How to Report Medicaid Fraud & Abuse

Medicaid fraud and abuse needs to be reported so that the billing physician can be held accountable for his actions. In order to report the fraud, gather all of the details concerning the charge. For example, you need the doctor's name, office address, the service that was allegedly rendered, the amount that Medicaid paid for the service, the name of the person who allegedly received the service and why you believe the service should not have been paid for by Medicaid.

Instructions

• 1

  Call the Office of the Inspector General hotline at 800-447-8477. Provide the hotline operator with all of the details surrounding the charge. As you do so, the operator will open a fraudulent claims report on your behalf.

• 2

  Report the Medicaid fraud and abuse online. This is done by going to the Office of the Inspector General's website. Click the "Report Fraud Online" link from the homepage. Scroll down the "How to Report" section. Click the "Submit Your Complaint Online" link. You can submit your report anonymously or reveal your identity.

• 3

  Report the Medicaid fraud and abuse by fax. To do this, create your own written report containing all of the details. Fax the report to the Office of the Inspector General at 800-223-8164.

• 4

  Submit your report of Medicaid fraud and abuse via mail. Mail your written report to the following address:

  Office of Inspector General

  Department of Health and Human Services

  Attn: Hotline

  P.O. Box 23489

  Washington, DC 20026